Acute Life-threatening Laryngeal Dysfunction in a Draft Horse Recovering from General Anesthesia: A Case Report.
Anesthesia
Draft horse
Larynx
Perioperative complication
Journal
Journal of equine veterinary science
ISSN: 0737-0806
Titre abrégé: J Equine Vet Sci
Pays: United States
ID NLM: 8216840
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
25
02
2020
revised:
16
04
2020
accepted:
17
04
2020
entrez:
21
7
2020
pubmed:
21
7
2020
medline:
12
3
2021
Statut:
ppublish
Résumé
A 13-year-old Shire horse was anesthetized for an elective orthopedic procedure. During recovery from anesthesia, the occurrence of severe acute dyspnea required a second anesthetic to allow endoscopy-guided nasotracheal intubation. Endoscopic findings were decreased mobility and swelling of the arytenoids with narrowing of the laryngeal aditus. Owing to a dislodgement of the nasotracheal tube during recovery, a third anesthetic was carried out to perform emergency tracheostomy. Recovery from the third anesthetic was long and the horse developed a post-anesthetic myopathy. The clinical conditions improved during the following 48 hours, and an endoscopic examination performed before discharge revealed unremarkable laryngeal function. It was hypothesized that mechanical stimulation of the trachea during the phases of intubation and extubation caused traumatic laryngeal dysfunction, and that draft horses might require additional care during the perioperative period.
Identifiants
pubmed: 32684254
pii: S0737-0806(20)30200-8
doi: 10.1016/j.jevs.2020.103109
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
103109Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.